Inspection on 24/01/07 for Ormidale House

This inspection was carried out on 24th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ormidale House 25/01/08

Ormidale House 09/05/06

Ormidale House 13/12/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Ormidale House 41 Woodgreen Road Wednesbury West Midlands WS10 9QS Lead Inspector Deirdre Nash Key Unannounced Inspection 25th January 2007 10:40 Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ormidale House Address 41 Woodgreen Road Wednesbury West Midlands WS10 9QS 0121 556 0567 F/P0121 556 0567 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Chuhan Limited Brian Turney Care Home 11 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (2), Physical disability (4) of places Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The outstanding requirements from previous inspections are addressed within stated timescales as detailed in the action plan provided by Mrs Freeman, signed by her and dated 10th October 2005. 9th May 2006 Date of last inspection Brief Description of the Service: Ormidale House is a large detached house on the main road from Wednesbury to Walsall. It is on a dual carriageway, a few hundred yards from junction 9 of the M6 and there are a number of local shops and pubs located close by. There are parking facilities for a limited number of cars at the front of building. Bedrooms are located on the ground and 1st floor. It has two shared bedrooms. There is a bathroom on the ground floor and a shower room on the 1st floor. There is no lift available but a stair lift has been fitted. A smoke room is provided for service users separate to other facilities. Lounge and dining facilities are sited within one main area and the dining area has views of the rear of the property. To the side of the property there is an outbuilding, which is currently used as storage space. Access to the garden is limited for service users with mobility problems. Weekly fees range from £370.00 to £475.00 per service user. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We looked at all of the information that we have received about this home since it was last inspected. The Inspector called at the home without notice mid morning, spoke with the manager and members of staff, met five residents and spoke with three, looked around the home and looked at records. The care of a sample of two residents was followed in this way to see if the home is providing a service that meets the national minimum standards. Residents appear generally well looked after and content and can communicate comfortably with staff. What the service does well: What has improved since the last inspection? What they could do better: Information about the home is available but it is now out of date. Soon, half of the current residents will be over 65 years old and the home needs to provide information about how it can look after that age group. Staff need to be trained to look after older people and the home may need more aides and adaptations so that people can get around when they become unsteady on their feet. Residents that need help from staff to go out should be able to get out more often. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 6 Improvements have been made but they are piecemeal and undone in part by money saving practices like not providing fresh milk. The progress made last year needs to continue. The home must have a clear purpose and joined up plan for development and improvement that is focused on the needs of the residents particularly the older ones. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Information about the home is available but does not reflect the service accurately. There have been no new admissions for some time but prospective service users do not have accurate information to decide if the home could meet their needs EVIDENCE: Half of the current residents will be aged over 65 years by April this year. The home has one vacancy and two shared bedrooms. We have asked for proposals in writing to tell us how they intend to reduce the number of shared rooms and also meet National Minimum Standard that by of 1st April 2007 no more than ten residents will share facilities and same staff group. Comments below show that we found that the home is only ‘adequate’ at meeting many of the needs of its current residents. Staff spoken to are not familiar with the illnesses and conditions of old age, have received little appropriate training for it and the environment is not sufficiently adapted for old people. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 9 We case tracked the oldest and the youngest resident at the home. A written statement of terms and conditions of care and accommodation was in the file of one of these residents. The manager reports that the proprietor has the other contract at the moment. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Records are well kept and the home produces wide-ranging care and support plans for each individual and staff know residents well. However care plans are not keeping up with changes in condition particularly in older residents who’s condition could change quickly. EVIDENCE: We saw service users plans in the care files of both residents in our sample covering a range of areas of the resident’s care and life and including risk assessments. We saw minutes of reviews with social workers and the beginning of a person centred assessment being undertaken by the home. This is very positive and this work should continue as a joined up care planning system for each resident. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 11 One of our sample residents, aged over eighty, agreed to take us up to his room and we saw that he climbed the stairs by holding the rail provided on the right and stooping down to hold the chair lift track on the left. He was very out of breath when he reached the top of the first flight and nervous about being followed up by someone else. He told us that he does not want to use the chair lift. Staff report that they have tried to encourage him to do so. There is a risk assessment for his mobility out of doors but no risk assessment for his using the stairs without the chair lift and there should be for his and other people’s safety. Care plans and risk assessment should be working documents that respond to changes in people that staff observe or that the resident him or herself report. The home must approach social services for a full assessment of this residents’ needs. Residents that we spoke to said that they could get up and go to bed when they chose. Confidential records are locked away. We heard staff asking residents to make some everyday decisions and the manager reports that the second stage of recruiting new staff is inviting candidates to chat with residents but there is no evidence of residents meetings or any formal process of involving residents in the running of the home. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Performance here is mixed. Although some residents have a lifestyle suited to their age others do little with their time. The psychological well being of some residents may deteriorate because they do not have a reasonable range of activities and community contact. EVIDENCE: Both residents in our sample were out of the house at day services on each day that we visited. We spoke to one and he said that he likes to go. We did however see other residents sitting in the lounge in front of the television for long parts of the day while care staff are cleaning the house. One resident returned from day services and then went out dancing for the evening. Some residents attend an evening class during term time. Care files contain up to date records of activities in and out of the home that each resident has undertaken. These correspond with the daily records that are kept in which an entry is made by staff at least three times each day. This Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 13 is positive. However care staff should be spending time with the residents who do not have a day service or cannot take themselves out safely and do not wish to be occupied with cleaning work. We raised this at the last inspection. Opportunities for coming and going from the house spontaneously must improve. We saw evidence in care files, plans and risk assessments that the home supports resident’s personal and family and intimate relationships. Residents told us that they like the food and staff say that they offer a choice for every meal. The main meal is served in the evening; this may not suit the older residents. On the evening of the first day that we were there dinner was tinned salmon or fish cake and parsley sauce, mashed or boiled potatoes and frozen peas and or broccoli. The only milk available is long life and the home buys only low fat margarine and no butter. Almost every item of food that we saw is budget buy brand. Although there was fresh tomato for sandwiches there were no fresh vegetables in the home. Most of the dairy produce was low fat. This may not be suitable for all residents particularly those in their seventies and eighties, whose nutritional needs are often different from younger adults. The manager reports that the owner does shopping on the Internet. This is institutional practice. Residents should be offered the opportunity to go to the shops and buy food. The manager tells us that he is in the process of taking advice from a dietician about the food in the home generally and residents individually. This is a positive approach but in the meantime fresh milk should at least be provided. Food is a very important part of the care that a home provides for people and although we saw nutritional screening and weight records in the files of both sample residents, quality and choice must be improved quickly. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal and health care is written in individual care plans and although greater detail about preferences should be included residents get good healthcare and receive personal support. EVIDENCE: We saw pressure sore risk assessment in the file of the older resident in our sample and a health action plan. The younger resident has blood sugar test records, general medical records and an administration of medication risk assessment. There were also records of general health appointments with dentist, optician and chiropodist. Staff spoken to confirmed the level of personal care and support that each resident needs as described in their care plan. We saw staff giving emotional support to one resident who was distressed about a family matter. Records show that residents are assisted with regular baths and showers. These records are on display in a book in the bathroom. They must be kept separately for each resident so that if they wish to see this information they Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 15 wont be looking at information about other people. It must also be removed from general view. Residents spoken to said that staff help them with their personal care in a sensitive way. The resident in our sample that we were able to meet and speak to is over eighty years old and looked very well groomed and healthy, although we have made comment above about the homes capacity to look after him if his needs or condition suddenly changes. All residents that we met were groomed although some wore very poor quality clothing that appeared worn and washed out. We saw a document on agreed arrangement for terminal illness and death in one of the two residents files. The manager says that this has been raised with all residents and their families by letter but few have responded. We saw signed consent forms for staff to administer medication in the care files of our sample residents and a local pharmacist report of the administration and storage of medication at the home dated August 2006. The manager told us that the pharmacist visits quarterly and sends an annual report Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home has a complaint procedure and although staff are clear about their duty to safe guard residents well being they are not familiar with correct procedures for dealing with concerns or allegations. Staff are likely to take matters into their own hands and this could compromise service user rights. EVIDENCE: We saw the complaint procedure posted in the hallway of the home and some easy read complaint forms. The complaint log has no entries. We have received no complaints about the home since the last inspection. The manager reports that there has been no adult protection referrals made since the last inspection. We have received none. The manager has used the multi agency strategy for adult protection last year. However, although clear about the forms that abuse can take, staff spoken to are not clear about the correct procedure for responding to allegations or suspicions of abuse of a resident. They are not aware of the boundaries of their role and likely to take matters into their own hands and make their own decisions. The manager reports that staff have not yet received up to date protection from abuse training, however the homes policy and the locally agreed multi agency procedure could be communicated to them at a staff meeting while training is arranged. We raised this at the last inspection. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Financial investment is being made to improve the property but soon half of the residents will be over sixty five and the home is not geared up to accommodate older people when their needs change. EVIDENCE: The house is kept warm and clean and the garden is tidy. A new boiler has been installed since our last visit. This is very positive. Lighting in parts of the house especially on the staircase and landings is poor. There are push button timer light switches on the stairs. These are inappropriate for a care home and dangerous for residents who are unsteady on their feet especially older residents. There are currently two residents age 70 and one age 85. Referred to above one of our sample residents was seen climbing the stairs with one hand gripping the stair rail and the other steadying himself on the chair lift runner at ankle level. People over 70 years generally need high levels of lighting to avoid trips that can result in fractured bones. The manager Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 18 agreed to remove the light switches and replace them with rocker switches within two days of our visit and have the illumination properly reviewed as soon as possible thereafter. The manager reports that the public areas of the home are to be redecorated including new flooring in May. This is very positive. We have advised the manager to look up the professional social care journals for up to date information on ‘enabling’ interior environments for old people before the colours and fabrics are decided. There are also plans to replace all of the single glazed wooden framed windows in the building this year as some are rotting. This is very positive. We asked the manager to remove a broken and potentially dangerous toilet seat while waiting for a replacement. These things should be done before we point them out particularly as there are residents in the house over 65 years old and unsteady on their feet. The kitchen and laundry are clean and well kept. The washing machine has a ‘hygiene’ cycle. The kitchen has a large hatch that opens out to the lounge. This is the most prominent feature of the communal area and it gives the appearance of an institution. We recommend that the hatch be closed in to return the lounge to a domestic appearance. We saw the bedroom of one resident in our sample. It is warm, bright and has his personal belongings in it. He has a door key. As this resident is anxious about using the stair lift it would be better if he could be accommodated on the ground floor. Two bedrooms in the house are shared. These residents are not couples or relatives or long standing friends. Referred to above the home currently has a vacant room so one of these rooms could be offered as single occupancy room to a service user who currently shares a room, as is good practice. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Staff are properly recruited and are supervised. Training has increased but staff do not have sufficient knowledge about the care or conditions of older people. The home provides a home for life but many residents may not have their future needs properly met. EVIDENCE: We looked at the personnel files of two staff in our tracking sample. Both have all of the information required for the protection of vulnerable people. Both contain certificates for updated training in health and safety topics in 2006 and 2007. The senior has an NVQ Award certificate at Level 3 and the care assistant reports that he achieved Level 2 in October 2006. This is very positive but a copy of the certificate should be kept on file at the home. Records show that each staff member had 3 one to one supervision sessions with a line manager including an annual appraisal during 2006. Staff should have at least six each year so that the manager can be confident that they are meeting the changing needs of residents. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 20 There are two senior care assistants, each have level 3 NVQ and this is very positive. The manager reports that staffing levels are at least 2 staff per shift with an aim for 3 in the evenings. We looked at the roster for two days in mid January and found this pattern with 3 staff on from 3pm to 10pm on one of those days. The manager reports that he now has to spend less time ‘on the floor’ himself. Referred to above we saw morning staff spending their time on domestic duties while some residents sat for hours in front of the television. Unless care staff are assisting residents with household tasks as part of a care plan, domestic duties should be additional to care hours and undertaken by ancillary staff. The home has provided a lot of training for staff during the past twelve months but staff spoken to have insufficient knowledge about how older people should be looked after. For example no one in the home had been able to make a professional argument against the timed light switches recently being installed on the staircase. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The manager is registered with us and there has been recent investment in professional support for the manager, staff training and in the fabric of the home. Attempts to reduce expenditure on food and lighting however are not in the best interests of the residents. EVIDENCE: The manager is experienced and registered with us. He reports that he is completing his NVQ Award at Level 4. This is very positive. A free lance consultant provides the manager with professional supervision and carries out the unannounced monthly visits to the home required by regulation 26. The manager reports that he delegates care management tasks to the seniors. Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 22 The current owner bought the home fifteen months ago and is making investment in staff training and the fabric of the home. The manager reports that there is a business plan. Staff report that their salaries are paid on time and we saw that a quality assurance system has been purchased. This is all positive. It appears that some savings in expenditure have been attempted by purchasing only budget brand food, no fresh milk, meat, fish or vegetables and by installing timed light switches on the staircase. This is not in the best interest of residents. By 22nd March this year 50 of the current residents will be 65 years or over. A vacancy exists and the home has the opportunity to reduce its double occupancy of rooms and also to meet the National Minimum Standard of a maximum of 10 residents sharing facilities and the same staff group by 1st April 2007. We looked at a sample of fire and safety test records and found them to be in good order. The certificate of registration is on display. The home has made some progress across most areas of its service since the last inspection but it appears piecemeal and is undermined in part by money saving practices. This progress needs to continue with a clear purpose and joined up plan for the development and improvement of the home focused on the needs of the residents . Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 2 3 2 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 2 28 2 29 2 30 3 STAFFING Standard No Score 31 2 32 3 33 2 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 2 2 3 LIFESTYLES Standard No Score 11 x 12 2 13 2 14 2 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 2 2 x 3 2 3 Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard RQN Regulation Care Standards Act 2000 s 31 Requirement The registered person must provide details in writing to the Commission for Social Care Inspection of how it is intended that the home will accommodate elderly people including older persons facilities and staff training Also tell us How it is intended that the home meet the National Minimum Standards and reduce the number of residents to groups of no more than ten people sharing a staff team and facilities How it is intended that the home reduce the number of shared occupancy rooms. (Urgent action letter sent under separate cover.) 2. YA1 4,5 The registered person must ensure that the statement of purpose for the home is updated to show the current situation The registered person must ensure that social services are DS0000065596.V323530.R01.S.doc Timescale for action 16/02/07 01/04/07 3. YA9 12 28/02/07 Ormidale House Version 5.2 Page 25 4. YA10 12 5. YA13 12 6. YA17 12 7. YA20 13 firmly approached for a comprehensive assessment of the needs of the elderly residents identified at inspection. The registered person must ensure that bathing records about individuals are not kept collectively and are removed from general view in bathrooms. The registered person must ensure that all residents have the opportunity with staff support to go out daily The registered person must ensure that the current approach to food, eating and nourishment at the home is put under review and quality and choice is improved in the best interests of residents individually and collectively. The medication policy must include arrangements for the transportation of medication and must state that medication must not be double dispensed. (Requirement made at previous inspections last compliance date of 31/08/06 not inspected on this occasion) The registered person must ensure that updated Adult Protection training is be provided to all staff (Requirement made at last inspection compliance date of 30/06/06 not met) 28/02/07 01/04/07 01/04/07 01/04/07 8. YA23 13 01/04/07 9. YA24 23 10. YA33 18 The registered person must ensure that plans to redecorate and upgrade the communal areas of the home include suiting the needs of elderly people The registered person must ensure that Care staffing hours provided per week are sufficient on each shift to take residents DS0000065596.V323530.R01.S.doc 01/04/07 01/04/07 Ormidale House Version 5.2 Page 26 out. Housework must not be undertaken by care staff at the expense of resident need for community contact and activity. 11. YA35 23 The registered person must ensure that a training needs assessment for the team as a whole is developed to address the skills knowledge and understanding needed to care for old people including the conditions and illnesses of old age. Develop an effective quality assurance system. (Requirement first made prior to October 2003, last compliance date 30/09/06 not met) 13. YA42 13 The registered person must 30/01/07 ensure for the safety of residents that rocker switches that allow the staircase to remain illuminated replace the timed light switches on the staircase. Timescale: by Tuesday 30th January 2007 as agreed by the registered manager. The registered person must 01/04/07 undertake some training in or develop some understanding of the provision of care to older adults. 01/04/07 12. YA39 24 01/04/07 14. YA43 8 Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations Consider how person centred planning can be incorporated into the care planning system in order to demonstrate involvement from service users and their families/advocates. Produce care plans in a format suitable for service users at Ormidale House. Care plans should contain specific details as to what type of support and tuition are needed to assist individual service users with managing their finances Care plans should include guidance on how service users make decisions, support required to do so and where decisions are made by others and why Independent living skills should be included in plans of care and implemented. Plans of care should reflect service users individual interests and outcomes must be monitored. More regular community access should be facilitated and evidenced in line with individual service users specific interests Involve residents more in how the home is run A policy to guide the management of service user finances should be written and staff made familiar with it Remove the hatch between the kitchen and lounge The manager should seek the advice of the Infection Control Nurse The manager should review staff job descriptions to ensure that staff roles are clearly defined. Increase the number of staff supervision sessions and include care practices and the individual’s strength’s and weaknesses Keep copies of staff qualifications on file at the home Consider ways of developing strategies for enabling staff to voice concerns and reward for innovation, creativity, development and change. Review staff meeting times to encourage all staff to attend 2. 3. 4. 5. YA6 YA6 YA6 YA6 6. 7. 8. 9. 10. 11. 12. 13. YA8 YA23 YA24 YA30 YA31 YA36 YA41 YA38 Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ormidale House DS0000065596.V323530.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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